For over half of Americans, vacation days are no vacation at all, according to Princess Cruises' Sixth Annual Relaxation Report. Over half (54%) of Americans spend their vacation days dealing with personal obligations such as family emergencies, doctor’s or dentist’s appointments and sick days for their children or loved ones rather than actually vacationing. And the mere thought of asking their boss for a few extra days off causes more stress than asking for a pay raise for nearly a quarter (22%) of American workers, according to the recent survey by Wakefield Research for Princess Cruises.

Stress triggers are on the rise with nearly a one-third of people who get stressed at just the thought of relaxing, up from 28 percent in 2014. And 42 percent frequently feel guilty about relaxing, also up from 38 percent last year. For more than a third of Americans (36%), it’s even more difficult to find time to relax than to live within their budget.